2016-2017 Volunteer Application
Thank you for signing up for Serve Rhode Island's Storm Assistance For Elderly and Disabled (SAFE-D) Program. We will provide this service after major winter storms - typically six inches of snow or more, or when there is extensive icing. SRI will reach out prior to an anticipated storm to provide updates to volunteers. Volunteers are only dispatched when it is deemed safe to travel, and will be asked to confirm their service. SRI prioritizes residents who are in the most need and attempt to match volunteers and residents who are closest together.
First Name:
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Last Name:
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Street Address:
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City/Town:
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Zip Code:
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Cell Phone Number:
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Email Address:
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Birth Date
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YYYY
Please choose option that best describes yourself?
If under the age of 18:
Parent First and Last Name, Contact Number
Your answer
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